Vol 10, No 6 (2021)
Research paper
Published online: 2021-12-28

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Quality of diabetes care and its consequences in Northern Iran

Vahid Bay, Naser Darakhshani, Fatemeh Bay, Ehsan Zarei, Mahboobeh Asadzadeh, saeed Fallah
Clin Diabetol 2021;10(6):462-467.


Background. Diabetes is an important public health

problem. This study aimed to investigate the quality

of care in patients with diabetes type 2 and its consequences

in rural areas at Golestan province, North

of Iran, in comparison to standards of the Ministry of

Health and Education of Iran and the American Diabetes


Methods. This was a cross-sectional study based on

data from 308 patients with diabetes type 2 in rural

areas at Golestan province, which was conducted

through a two-stage classified sampling method and

random selection. Data of this research was gathered

through a questionnaire (fulfilled by the interviewer),

assessment blood sugar, and information obtained

from patients’ files. Data were analyzed by descriptive

statistics and SPSS version19.

Results. The mean age of patients was 57 years and

88 patients (29%) were male. Only 35% of patients

were visited seasonally by a family physician. In addition,

only 24% of patients were visited at least once

a year by an ophthalmologist, and 31% of patients

underwent a glycated hemoglobin test at least twice

a year. Influenza and hepatitis vaccines were given to

1.6% and 9.4% of patients, respectively. 85% of patients

were evaluated once a year for lipid profile and

61% for creatine and albumin. Only 31% of patients

received nutrition counseling at least once a year.

Controlled glycated hemoglobin (HBA1c) was 27% and

most patients were in the range of overweight and

obesity (> 75%).

Conclusion. The findings of this study showed that

the quality of diabetes care and its consequences in

patients is not desirable and is far from the standards

provided by the Iran’s Ministry of Health and the

American Diabetes Association and requires revision in

the current program of diabetes control.

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